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Comparison of clinical outcomes between patellar resurfacing and nonresurfacing in total knee arthroplasty: retrospective study of 130 cases
Surgical Management of Osteoarthritis of the Knee CPG
OBJECTIVE: To compare clinical outcomes between patellar resurfacing and nonresurfacing in total knee arthroplasty (TKA). METHODS: Data from osteoarthritis patients who underwent TKA and were followed up for >/= 9 years were analysed retrospectively. Patients were divided into two groups: patellar nonresurfacing group ...
0
Long-Term Results of Incisional Hernia Repair with Concomitant Abdominoplasty in Postbariatric Patients
Panniculectomy & Abdominoplasty CPG
UNLABELLED: The aim of the study was evaluation of long-term results after simultaneous incisional hernia repair and abdominoplasty in patients following RYGB (Roux-en-Y Gastric By-pass) and estimation of quality of life before and after this complex operation. MATERIAL AND METHODS: We analyzed long-term results in 18 ...
0
Causes of mortality in cases with extra nodal natural killer/T-cell lymphoma, nasal type: A cohort study
MSTS 2022 - Metastatic Disease of the Humerus
OBJECTIVE: Extra nodal natural killer/T-cell lymphoma (ENKTL), nasal type is a rare and highly aggressive type of non-Hodgkin's lymphoma (NHL) commonly presented in the nasal cavity or lymphatic system. However, the common causes of mortality in ENKTL remain unclear. We conducted a retrospective population-based cohort...
0
Linezolid treatment of skeletal methicillin-resistant Staphylococcus aureus infection
Management of Hip Fractures in the Elderly
Purpose: To investigate the role of linezolid in the treatment of skeletal methicillin-resistant Staphylococcus aureus (MRSA) infections in a university clinic for trauma surgery with regard to treatment results, side effects, practicability, and costs. Patients and Methods: Data were recorded retrospectively in a sing...
0
Optimal setting and care organization in the management of older adults with hip fracture
Management of Hip Fractures in the Elderly
Hip fracture (HF) is a common event in the geriatric population and is often associated with significant morbidity, mortality and costs for the Healthcare Systems. The growing awareness of HF consequences and the expected rise in the total number of HF worldwide have led to the development and implementation of models ...
0
Humeral shaft fractures secondary to hand grenade throwing
Pediatric Supracondylar Humerus Fracture 2020 Review
A series of five cases were presented in which similar fractures of the shaft of the humerus occurred during the hand grenade throwing activity during the military education. All the fractures were in the 1/3 distal humeral shaft, and butterfly fragments were accompanying in two soldiers. All the fractures healed witho...
0
Time-sensitive ambulatory orthopaedic soft-tissue surgery paradigms during the COVID-19 pandemic
AMP (Acute Meniscal Pathology)
Purpose: Timing of surgery for orthopaedic injuries continues to evolve, as an improved understanding of biology, healing, and technological advances continues to challenge historical norms. With the growing COVID-19 pandemic stretching limited healthcare resources, postponing surgery becomes an inevitable and unenviab...
0
Partial versus total meniscectomy. A prospective, randomized study
OAK 3 - Non-arthroplasty tx of OAK
Two hundred patients with a meniscus lesion were peroperatively allocated to partial or total meniscectomy. The results were compared at one year and at 6.3�9.8 years (median 7.8). After one year, more patients with partial meniscectomy (90%) than with total meniscectomy (80%) had no complaints (p = 0.029). At the la...
0
Carpal tunnel syndrome: an unusual presentation of brachial hypertrophy
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
A patient with carpal tunnel syndrome in association with congenital hypertrophy of right upper limb is described. The median nerve also showed hypertrophy. The symptoms were relieved by decompression of the carpal tunnel
0
Novel ways of preventing antibiotic-resistant infections: What might the future hold?
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Most antibiotic-resistant bacteria are opportunistic pathogens; they colonize the skin and mucosal surfaces and only cause infection when the opportunity arises. Thus, the processes that lead to an infection attributable to antibiotic-resistant bacteria can be broadly divided into those processes that lead to acquisiti...
1
Radiological evaluation of asymmetrical limitation of hip abduction during the first year of life
Developmental Dysplasia of the Hip CPG
Asymmetrical limitation of abduction of the hip may be found on screening of children in the first year of life. The clinical features identified may occur in congenital dislocation of the hip but most infants do not have or develop hip dislocation. Radiological changes are present on the side of limitation of abductio...
1
Arthroscopic Subacromial Spacer Implantation in Patients With Massive Irreparable Rotator Cuff Tears: Clinical and Radiographic Results of 39 Retrospectives Cases
Trial Systematic Review Project
Purpose To evaluate the clinical and radiographic outcome of a biodegradable subacromial spacer in the treatment of massive irreparable rotator cuff tear. Methods Between January 2011 and December 2014, all shoulders with symptomatic massive irreparable rotator cuff tears treated at our institution with arthroscopic im...
0
Effect of C282Y genotype on self-reported musculoskeletal complications in hereditary hemochromatosis
Hip Fx in the Elderly 2019
Objective: Arthropathy that mimics osteoarthritis (OA) and osteoporosis (OP) is considered a complication of hereditary hemochromatosis (HH). We have limited data comparing OA and OP prevalence among HH patients with different hemochromatosis type 1 (HFE) genotypes. We investigated the prevalence of OA and OP in patien...
0
A systematic review of tissue engineered meniscus: cell-based preclinical models
OAK 3 - Non-arthroplasty tx of OAK
Meniscal injuries are one of the common sports injuries and their natural healing is limited. Removal of injured meniscus alters knee biomechanics and predisposes patients to osteoarthritis. Tissue engineered meniscus provides a novel approach for the treatment of severe meniscus injury. The aim of this review is to re...
1
Is prematurity important in ultrasonographic hip typing?
Developmental Dysplasia of the Hip CPG
The aim of this study was to determine whether prematurity is important with respect to hip typing and planning of treatment/follow-up in newborns assessed with the Graf's ultrasonography method. Between January 1998 and 2003, 1592 neonates; preterm (n=432) and term (n=1160), had their hips ultrasonographically evaluat...
1
Neurophysiological recovery after open carpal tunnel decompression: comparison of simple decompression and decompression with epineurotomy
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Two hundred and seventy-three patients with carpal tunnel syndrome without advanced neurophysiological changes (distal motor latency below 11 ms) were randomized to treatment by open carpal tunnel release with, or without, epineurotomy. Patients were examined clinically and by nerve conduction studies preoperatively an...
0
Post-operative deformation and extrusion of the discoid lateral meniscus following a partial meniscectomy with repair
AMP (Acute Meniscal Pathology)
PURPOSE: The purpose of this study was to investigate the morphology of the discoid lateral meniscus sequentially following a partial meniscectomy with repair using magnetic resonance imaging (MRI). METHODS: Nine patients with a symptomatic discoid lateral meniscus with a peripheral tear were enrolled in this study, an...
0
Arthroscopic repair techniques for massive rotator cuff tears
Glenohumeral Joint OA
Patients with massive rotator cuff tears present with pain, weakness, and loss of function. Candidates for arthroscopic repair include symptomatic, young, active patients; those with an acute tear or tears with early changes of atrophy; and patients willing to comply with recovery and rehabilitation processes after sur...
1
Simulated bone remodeling around two types of osseointegrated implants for direct fixation of upper-leg prostheses
DoD LSA (Limb Salvage vs Amputation)
Direct attachment of an upper leg prosthesis to the skeletal system by a percutaneous implant is an alternative solution to the traditional socket fixation. In this study, we investigated long-term periprosthetic bone changes around two types of fixation implants using two different initial conditions, namely immediate...
0
Large-volume breast reduction: Long-term results
Reduction Mammoplasty for Female Breast Hypertrophy
Forty-three women had reduction mammaplasty during the period 1992-2000 and the cosmetic outcome was evaluated using subjective and objective measures. The inferior pedicle technique was used in all cases. The mean (SD) weight of resected tissue was 1121 (415) g. All objective measurements were within the ideal range e...
1
Screening program for neonates at risk for developmental dysplasia of the hip: comparing first radiographic evaluation at five months with the standard twelve week ultrasound. A prospective cross-sectional cohort study
Developmental Dysplasia of the Hip 2020 Review
PURPOSE: To assess whether delayed radiological hip screening at five months (versus ultrasound at 3 months) results in a higher incidence of persistent developmental dysplasia of the hip (DDH) at 18 months. METHODS: We analyzed 3536 screened neonates (2009-2013) at age two to three weeks. In the case of risk facto...
0
Posterior angulation in trochanteric fractures detected with roentgen stereophotogrammetry
Management of Hip Fractures in the Elderly
Roentgen stereophotogrammetric analysis has been carried out in 8 patients with trochanteric fracture after fixation with a sliding screw-plate. In 6 of the 8 cases the proximal fragment angulated posteriorly after the operation. Posterior angulation may be an important mode of failure of trochanteric fractures
0
Patterns of analgesia for fractured neck of femur in Australian emergency departments: Original Research
Management of Hip Fractures in the Elderly
Objectives: Fractured neck of femur is a common ED problem and poor pain management in this patient group can contribute significantly to their morbidity. The present study aims to describe current practices for managing pain in patients with fractured neck of femur in Australian ED and to identify real or potential ba...
0
Treatment of posttraumatic cubitus varus in the pediatric population with humeral osteotomy and external fixation
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Cubitus varus may occur after supracondylar humerus fractures. Poor fixation, however, complicates operative treatment of cubitus varus. We discuss the use of external fixation in the treatment of cubitus varus. Five patients had humeral osteotomies with external fixation. The preoperative humeroulnar angle (HUA) avera...
0
Reverse Total Shoulder Arthroplasty for Irreparable Rotator Cuff Tears
Glenohumeral Joint OA
Multiple treatment options exist for treating massive rotator cuff tears without arthritis. In patients who have failed nonoperative treatments and have continued pain, anterior superior escape, static superior subluxation with acromial changes, pseudoparalysis, and decreased acromial humeral interval, reverse total sh...
0
Effects of Sodium-glucose Cotransporter 2 Inhibitors on Amputation, Bone Fracture, and Cardiovascular Outcomes in Patients with Type 2 Diabetes Mellitus Using an Alternative Measure to the Hazard Ratio
DoD LSA (Limb Salvage vs Amputation)
BACKGROUND AND OBJECTIVE: Empagliflozin and canagliflozin decreased the risk of major adverse cardiovascular events (MACE) compared with placebo in randomized clinical trials which were conducted to evaluate their cardiovascular risks. However, canagliflozin increased the risks of amputation and bone fracture, and the ...
1
Pregnancy Reverses Abdominoplasty Aesthetic Outcome: Myth or Misconception? A Cross-Sectional Study
Panniculectomy & Abdominoplasty CPG
BACKGROUND: The common recommendation for female abdominoplasty candidates is to conclude family planning before undergoing the procedure. However, no evidence demonstrates a correlation between aesthetic outcome compromise, risk for fetal complications, or risk for maternal complications when abdominoplasty is followe...
0
99Tc(m) solcocitran in the detection of bone malignancy
MSTS 2018 - Femur Mets and MM
A new 99Tc(m) labelled compound, 99Tc(m) Solcocitran, has been introduced for detection of bone and brain malignancy. It is claimed to be specific for neoplastic tissue. In the present material, however, 99Tc(m) Solcocitran was less sensitive in indicating metastatic bone lesions in patients than was 99Tc(m) Diphosphon...
0
Resource utilization in the management of acromegaly: An analysis from Southwest Ontario
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
OBJECTIVES: To examine the demographic and clinical characteristics in patients with acromegaly and to estimate the health care resource utilization associated in these patients in Ontario. METHODS: Retrospective analysis of resource use captured in the Southwestern Ontario Database from 2001 to June 2011. A total of 1...
0
Comparison of sinus tarsi approach versus extensile lateral approach for displaced intra-articular calcaneal fractures Sanders type IV
DoD SSI (Surgical Site Infections)
Purpose: Displaced intra-articular calcaneus fractures Sanders type IV(DIACFS IV) can result in an unsatisfactory prognosis and a high complication rate. Our investigation intends to compare the outcomes of DIACFS IV treated by open reduction and internal fixation (ORIF) via sinus tarsi approach (STA) with these via ex...
0
Greater Step Widths Reduce Internal Knee Abduction Moments in Medial Compartment Knee Osteoarthritis Patients During Stair Ascent
OAK 3 - Non-arthroplasty tx of OAK
Increased step widths have been shown to reduce peak internal knee abduction moments in healthy individuals but not in knee osteoarthritis patients during stair descent. This study aimed to assess effects of increased step widths on peak knee abduction moments and associated variables in adults with medial knee osteoar...
1
Prospective study on the efficacies of fondaparinux and enoxaparin in preventing venous thromboembolism after hip fracture surgery
Management of Hip Fractures in the Elderly
Background: Venous thromboembolism (VTE) is a common complication in hip fracture surgery (HFS). Fondaparinux (FPX) and enoxaparin (ENO) have been reported to decrease the incidence of VTE after HFS. The purpose of this study was to determine the efficacies of FPX and ENO and the superior agent for preventing VTE after...
0
Olecranon Osteotomy Fixation Following Distal Humerus Open Reduction and Internal Fixation: Clinical Results of Plate and Screws Versus Tension Band Wiring
Pediatric Supracondylar Humerus Fracture 2020 Review
Olecranon osteotomy allows for improved visualization of the distal humeral articular surface. This study compared the clinical outcomes of 2 methods of olecranon repair following olecranon osteotomy as part of distal humerus fracture repair. This was a retrospective review of distal humerus fractures treated via a tra...
0
Elderly patient's mortality and morbidity following trochanteric fracture. A prospective study of 100 cases
Management of Hip Fractures in the Elderly
BACKGROUND: Trochanteric fractures are a major source of mortality, morbidity and functional impairment in the elderly. Morbidity is closely related to the degree of instability and comminution and is substantially influenced by the quality of reduction and internal fixation. Advanced age and associated co-morbidities ...
0
Growth factor delivery methods in the management of sports injuries: The state of play
PRPs for Lateral Epicondylitis/Elbow Tendinopathies
In recent years there have been rapid developments in the use of growth factors for accelerated healing of injury. Growth factors have been used in maxillo-facial and plastic surgery with success and the technology is now being developed for orthopaedics and sports medicine applications. Growth factors mediate the biol...
1
Using job-title-based physical exposures from O*NET in an epidemiological study of carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
OBJECTIVE: We studied associations between job-title-based measures of force and repetition and incident carpal tunnel syndrome (CTS). BACKGROUND: Job exposure matrices (JEMs) are not commonly used in studies of work-related upper-extremity disorders. METHOD: We enrolled newly hired workers in a prospective cohort stud...
0
Procedure-specific postoperative pain management
AAHKS (4) Acetaminophen
The existence of two procedure-specific guidelines may be helpful for clinicians. Presently, the guidelines provided by the group in the Unites States cover most types of procedures, whereas the European Prospect guidelines represent a more detailed information site but have so far covered only laparoscopic cholecystec...
0
The Warwick patellofemoral arthroplasty trial: a randomised clinical trial of total knee arthroplasty versus patellofemoral arthroplasty in patients with severe arthritis of the patellofemoral joint
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND: Severe arthritis of the knee is a disabling condition, with over 50,000 knee replacements performed each year in the UK. Isolated patellofemoral joint arthritis occurs in over 10% of these patients with the treatment options being patellofemoral arthroplasty or total knee arthroplasty. Whilst many surgeons ...
0
A new technique of reattachment after traumatic avulsion of the TFCC at its ulnar insertion
Distal Radius Fractures
One female and seven male patients (median age 25.5) presented with traumatic avulsion of the triangular fibrocartilage complex (TFCC), type 1B according to Palmer's classification. Reattachment of the TFCC near its anchoring point was combined with an intraarticular shortening osteotomy of the ulnar head. This provide...
0
Morphologic changes following endoscopic and two-portal subcutaneous carpal tunnel release
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
This study describes the morphologic changes that occur following single incision endoscopic and two-portal subcutaneous carpal tunnel release. Seventeen patients were studied preoperatively and an average of 24 weeks postoperatively. Canal volume, carpal arch width, and median nerve palmar displacement and cross-secti...
0
Exposures of the elbow
Pediatric Supracondylar Humerus Fracture 2020 Review
This article describes the basic bony, ligamentous, and neurologic anatomy of the structures about the elbow. The surgical exposures of the elbow joint are described, providing details of the various posterior, lateral, and medial approaches to the articular segments. Clinical applications describing the potential bene...
0
Advances in supportive care of patients with cancer and bone metastases: nursing implications of zoledronic acid
MSTS 2018 - Femur Mets and MM
The knowledge and training of nursing staff is essential for the safety and comfort of patients receiving i.v. therapies. The use of i.v. bisphosphonates as an adjunct to standard antineoplastic therapies in patients with advanced cancer is becoming widespread. Zoledronic acid and pamidronate (Zometa and Aredia, Novart...
0
Effects of glucosamine sulfate on the use of rescue non-steroidal anti-inflammatory drugs in knee osteoarthritis: Results from the Pharmaco-Epidemiology of GonArthroSis (PEGASus) study
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND AND OBJECTIVE: The use of Symptomatic Slow-Acting Drugs in Osteoarthritis (SYSADOAs) may be expected to decrease the use of concomitant medications for rescue analgesia, including non-steroidal anti-inflammatory drugs (NSAIDs). The Pharmaco-Epidemiology of GonArthroSis (PEGASus) study was designed to assess ...
0
Influence of third molars in mandibular fractures. Part 2: mandibular condyleâ??a meta-analysis
DoD PRF (Psychosocial RF)
The aim of this systematic review was to investigate the influence of the presence and position of mandibular third molars in mandibular condyle fractures. An electronic search was conducted in PubMed, Scopus, Web of Science, Cochrane Library, and VHL, through January 2016. The eligibility criteria included observation...
0
Primary total knee arthroplasty in stiff and ankylosed knees
Surgical Management of Osteoarthritis of the Knee CPG
This study reviewed 71 patients who underwent 82 total knee arthroplasties between 1974 and 1987. All patients had severe limitations of motion preoperatively with a total preoperative arc of motion of < or = 50 degrees. Follow-up ranged from 2 to 12 years (average: 5.3 years). The average preoperative knee score was 3...
0
Long-term psychological adjustment to witnessing interparental physical conflict during childhood
DoD PRF (Psychosocial RF)
A retrospective survey of undergraduate students was used to examine the long-term psychological impact of witnessing interparental physical aggression during childhood. Two hundred and three of 1,452 young adults surveyed (14%) reported witnessing as children at least one incident of physical aggression between their ...
0
Comparative antibacterial effects of chlorhexidine and stannous fluoride-amine fluoride containing dental gels against salivary mutans streptococci
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Forty-five young adults were divided into three groups of equal size and given a professional toothcleaning (3 times during 1 wk) with dental gels containing either chlorhexidine (CHX, 1%), or a SnF2-amine fluoride (AmF) combination (F- content 1.20%). The control group received toothcleaning with a placebo gel. The st...
0
Patient-related outcome of unstable pelvic ring fractures stabilized with a minimal invasive screw-rod system
DoD SSI (Surgical Site Infections)
Background: Clinical and radiological outcomes of operatively treated unstable pelvic ring fractures are well documented, whereas little is known about the patient's related outcome. The purpose of this study is to evaluate the patient-reported outcome after minimal invasive treatment of pelvic ring fractures using the...
0
External suction drainage in primary total joint arthroplasties
Management of Hip Fractures in the Elderly
We compared a novel external suction drainage (ESD) system with a conventional internal suction drainage (ISD) system in patients undergoing primary total hip or knee arthroplasties. Forty-two consecutive patients were studied: 22 who received an ISD system and 20 who received the ESD system. Drainage volume was measur...
0
High volumes of recent surgical admissions, time to surgery, and 60-day mortality
Hip Fx in the Elderly 2019
AIMS: Few studies have investigated potential consequences of strained surgical resources. The aim of this cohort study was to assess whether a high proportion of concurrent acute surgical admissions, tying up hospital surgical capacity, may lead to delayed surgery and affect mortality for hip fracture patients. METHOD...
0
Medical management of hip fracture
Management of Hip Fractures in the Elderly
The United States population at the greatest risk for hip fracture, those aged 65 years and older, is steadily increasing in size. Today, the incidence of hip fracture is approximately 250,000 per year and it is expected to double in the next 30 years. Hip fracture patients are comorbid at baseline, and there are compl...
0
The aging of America. Impact on health care costs
HipFx Supplemental Cost Analysis
The rapid growth of the oldest age groups will have a major impact on future health care costs. We use current US Census Bureau projections for the growth of our oldest age groups to project future costs for Medicare, nursing homes, dementia, and hip fractures. Without major changes in the health of our older populatio...
0
Does the Modified Gartland Classification Clarify Decision Making?
Pediatric Supracondylar Humerus Fracture 2020 Review
HYPOTHESIS: The modified Gartland classification system for pediatric supracondylar fractures is often utilized as a communication tool to aid in determining whether or not a fracture warrants operative intervention. This study sought to determine the interobserver and intraobserver reliability of the Gartland classifi...
0
Effect of Low-Level Infrared Laser Therapy on Large Surgical Osteochondral Defect in Rabbit: A Histological Study
Diagnosis and Treatment of Osteochondritis Dissecans AUC
Abstract Objective: The present study investigates whether low-level laser therapy (LLLT) can accelerate healing of large osteochondral defects in rabbits. Background Data: LLLT has been used in the treatment of musculoskeletal disorders and fractures. Materials and Methods: Seventy rabbits were divided into control an...
0
Oxaliplatin-Related Ocular Toxicity
Upper Eyelid and Brow Surgery
We report the case of a 52-year-old woman with advanced colorectal cancer who was treated with oxaliplatin on a FOLFOX schedule. After 3 cycles of chemotherapy, she started to complain of visual loss, altered color vision and neurological symptoms. Due to the suspicion of ocular and neurological toxicity, antineoplasti...
0
Comparison of open reduction and internal fixation with total elbow arthroplasty for intra-articular distal humeral fractures in older age: a retrospective study
Pediatric Supracondylar Humerus Fracture 2020 Review
BACKGROUND: Intra-articular distal humeral fractures can be surgically challenging. It remains under discussion whether open reduction and internal fixation (ORIF) or total elbow arthroplasty (TEA) is more beneficial for treatment of the elderly. This study aimed to compare the clinical and functional outcomes of ORIF ...
0
Incidence and risk of surgical site infection after adult femoral neck fractures treated by surgery: A retrospective case-control study
DoD SSI (Surgical Site Infections)
Surgical site infections (SSI) are devastating complications after surgery for femoral neck fractures. There are a lot of literature have shown a strong association between diabetic patients and SSI. This study aimed to identify diabetes as an independent risk factor of SSI, focusing on femoral neck fractures, and to i...
0
Gait biomechanics after combined HTO-ACL reconstruction versus HTO alone: A matched cohort study
OAK 3 - Non-arthroplasty tx of OAK
The purpose of the present study was to compare bilateral external knee moments during gait in patients with concomitant medial compartment knee OA, varus alignment and chronic anterior cruciate ligament (ACL) deficiency who underwent either medial opening-wedge high tibial osteotomy alone (HTO) or simultaneous HTO and...
0
Does patellar denervation reduce post-operative anterior knee pain after total knee arthroplasty?
OAK 3 - Non-arthroplasty tx of OAK
PURPOSE: The effectiveness of patellar denervation in reducing anterior knee pain and improving patient satisfaction and quality of life after total knee arthroplasty (TKA) is still controversial. A meta-analysis was conducted to try to settle the controversy. METHODS: The electronic databases PubMed, Web of Science, E...
0
Arthroscopic and computer-assisted high tibial osteotomy using standard total knee arthroplasty navigation software
OAK 3 - Non-arthroplasty tx of OAK
Opening-wedge high tibial osteotomy is an increasingly performed procedure for treatment of varus gonarthrosis and correction of malalignment during meniscal transplantation or cartilage restoration. Precise preoperative planning and meticulous surgical technique are required to achieve an appropriate mechanical axis c...
0
Reliability of locked plating in tibial plateau fractures with a medial component
PJI DX Updated Search
BACKGROUND: Tibial plateau fractures are notoriously difficult to manage, particularly when there is a medial or posteromedial component. We report a retrospective analysis of our experience with consecutive tibial plateau fractures including a medial component that were managed using a single lateral locking plate. HY...
0
Low vision correction in retinitis pigmentosa and associated diseases
Upper Eyelid and Brow Surgery
Retinitis pigmentosa was considered unfavorable for low vision corrections before it was recognized that the term retinitis pigmentosa as frequently used referred to a group of disease entities including Leber's congenital amaurosis, centro-peripheral dystrophy, typical retinitis pigmentosa and Usher's syndrome. The su...
1
Total hip replacement with Muller prosthesis and ICLH double cup. 2- to 6-year results of a prospective comparative study
Management of Hip Fractures in the Elderly
A prospective comparative study was made of patients in the age-group 60-79 years with osteoarthritis of the hip treated with the Muller total hip prosthesis (n = 155) and the ICLH double-cup prosthesis (n = 149). The patients were comparable with regard to sex, mean age, and body weight, and the preoperative radiograp...
0
Recurrent mammary hyperplasia: Current concepts
Reduction Mammoplasty for Female Breast Hypertrophy
A large majority of patients who undergo reduction mammaplasty are satisfied with their aesthetic outcome and resolution of preoperative symptoms. Occasionally, patients present with postoperative concerns; these are usually aesthetic in nature and caused by breast scarring, breast asymmetry, and/or breast shape. Inade...
0
Predictors of skeletal-related events in non-small cell lung cancer patients with bone metastases
MSTS 2018 - Femur Mets and MM
Background: Skeletal-related events (SREs) cause significant pain and morbidity to many non-small cell lung cancer (NSCLC) patients. We try to evaluate the predictive factor of SREs in NSCLC patients with bone metastases. Patients and methods: We retrospectively examined the medical charts of 273 patients diagnosed wit...
0
The direct anterior approach: initial experience of a minimally invasive technique for total hip arthroplasty
PJI DX Updated Search
BACKGROUND: Less invasive approaches for hip arthroplasty have been developed in order to decrease traumatisation of soft tissue and shorten hospital stay. However, the benefits with a new technique can be at the expense of a new panorama of problems. This manuscript describes, with emphasis on postoperative complicati...
0
Childhood physical and sexual abuse as a predictor of healthcare utilization and negative outcomes among patients with musculoskeletal pain
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Epidemiological investigations have attempted to link exposure to childhood sexual and physical abuse with the development of nonspecific chronic pain, but little research has examined the relationship between abuse and outcomes associated with musculoskeletal pain. We hypothesized that childhood abuse exposure would p...
0
Scientific basis for the therapeutic use of Withania somnifera (ashwagandha): a review
SR for PM on OA of All Extremities
OBJECTIVE: The objective of this paper is to review the literature regarding Withania somnifera (ashwagandha, WS) a commonly used herb in Ayurvedic medicine. Specifically, the literature was reviewed for articles pertaining to chemical properties, therapeutic benefits, and toxicity. DESIGN: This review is in a narrativ...
0
Initial evaluation of the acute multiple-ligament-injured knee
DoD LSA (Limb Salvage vs Amputation)
The multiple-ligament-injured knee is an orthopaedic emergency. The initial assessment of this injury must include a thorough and expedient physical examination, with particular attention directed to the vascularity of the extremity. Vascular injuries should be ruled out immediately because a pulseless extremity may re...
0
A review of stress ulcer prophylaxis
DoD PRF (Psychosocial RF)
Stress-related mucosal damage (SRMD) is an erosive process of the gastroduodenum that occurs frequently in critically ill patients. Symptomatic lesions may range from overt bleeding (by hematemesis, melena, bloody or coffee ground aspirates, or hematochezia) to clinically significant hemorrhage (hypotension, tachycardi...
0
Magnetic resonance imaging in pathologic conditions of knee
AMP (Acute Meniscal Pathology)
Objective: To study MR appearances in various conditions affecting the knee and to identify the common lesions. Materials and methods: One hundred and fifteen patients with knee complaints and suspected to have meniscal, ligamentous or other pathology were studied using Signa contour 0.5 T (GE) MR machine. Images were ...
0
MOC-PS(SM) CME article: liposuction
Panniculectomy & Abdominoplasty CPG
LEARNING OBJECTIVES: After studying this article, the participant should be able to: 1. Adequately evaluate a patient preoperatively for liposuction. 2. Formulate a surgical treatment plan to safely perform liposuction. 3. Postoperatively diagnose immediate, early, and late complications and formulate a treatment plan ...
1
Economic impact of palifermin on the costs of hospitalization for autologous hematopoietic stem-cell transplant: analysis of phase 3 trial results
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
A double-blind, randomized trial showed that, compared with placebo, palifermin (recombinant human keratinocyte growth factor) reduced the frequency and duration of oral mucositis in patients with hematologic malignancies undergoing high-dose chemotherapy and total-body irradiation with autologous stem-cell support. Th...
0
Glucocorticoid injections for meniscal injury: Six-month efficacy, tolerance and survival
AMP (Acute Meniscal Pathology)
Background: Consensus has not been reached on the appropriate treatment for non-surgical meniscal injury, and the question of glucocorticoid injections remains open. The purpose of this work was to assess the efficacy and tolerance to these injections used for the treatment of trauma-induced or degenerative meniscal da...
0
Incidence and Mortality of Osteoporotic Fracture in Rheumatoid Arthritis in South Korea Using Nationwide Claims Data
Pediatric Supracondylar Humerus Fracture 2020 Review
BACKGROUND: To investigate incidence and mortaltiy of osteoporotic fractures (including hip, spine, distal radius, and proximal humerus) in rheumatoid arthritis (RA) patients and compare them with those in the genearal population. METHODS: Data provided by National Health Insurance Service were used to identify osteopo...
0
Thromboprophylaxis in patients with hip fractures: a prospective, randomized, comparative study between Org 10172 and dextran 70
Management of Hip Fractures in the Elderly
A prospective, randomized, assessor-blind trial has been undertaken to compare the thromboprophylactic effect and safety of the heparinoid Org 10172 (a mixture of low molecular-weight sulfated glycosaminoglycuronides) and dextran 70 in patients operated on for hip fracture. Prestudy biostatistical calculations led to t...
0
High Definition Liposculpture's 18-year Evolution: Patient Safety and Aesthetic Outcomes
Panniculectomy & Abdominoplasty CPG
BACKGROUND: High definition liposculpture (HDL) emerged as an innovative surgical technique that allowed plastic surgeons around the world to achieve higher aesthetic results by a natural and athletic appearance through minimal incisions and imperceptible scarring. Its ultimate targets are: High Aesthetic Standards and...
0
Alendronate increases bone density and bone strength at the distal radius in postmenopausal women
Distal Radius Fractures
In addition to the alendronate Osteoporosis Intervention Trial (FOSIT) core protocol 901-0A of 1908 enrolled patients, the use of peripheral quantitative computed tomography (pQCT) was explored for the assessment of response to therapy. Bone mineral and strength related parameters at two different sites at the distal r...
0
Optimizing Rheumatoid Arthritis Patients for Surgery
AAHKS (2) Corticosteroids
Purpose of Review: The purpose of this review is to guide providers on how best to optimize the health of patients with rheumatoid arthritis (RA) planning surgery, to reduce risk and complications and achieve the best outcomes. Recent Findings: The American College of Rheumatology (ACR) and the American Association of ...
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Early decrease of serum biomarkers of type II collagen degradation (Coll2-1) and joint inflammation (Coll2-1 NO2 ) by hyaluronic acid intra-articular injections in patients with knee osteoarthritis: a research study part of the Biovisco study
OAK 3 - Non-arthroplasty tx of OAK
To measure the evolution of the serum levels of specific Osteoarthritis (OA) biomarker, Coll2-1 and Coll2-1 NO2 in knee osteoarthritic patients after viscosupplementation (VS). Fifty-one patients with unilateral symptomatic knee were recruited for this prospective open label study. They received three intra-articular i...
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Ultrasound guided fenestration without or with a small dose of steroid injection for treating moderate carpal tunnel syndrome: A case series study
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Case Description: Four patients aged 46 to 53 (mean age 49) with moderate carpal tunnel syndrome were studied. Total of seven wrists received ultrasound guided fenestration of the wrist flexor retinaculum. Four of the seven wrists received only the fenestration (group 1) and the remaining three wrists (group 2) receive...
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Treatment recommendations and strategies for the management of bone and joint infections
DoD SSI (Surgical Site Infections)
Bone and joint infections are a cause of rising concern, mainly owing to the increasing number of traumatic accidents, the appearance of new groups of patients at risk, the widespread use of prosthetic devices and the emergence of new patterns of antimicrobial resistance. Treatment guidelines and particular strategies ...
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Surgical results of large and giant pituitary adenomas with special consideration of ophthalmologic outcomes
Upper Eyelid and Brow Surgery
OBJECTIVE: To analyze functioning and nonfunctioning pituitary adenomas (PAs)>3 cm, with special emphasis on preoperative and postoperative visual functions. METHODS: The cases consisted of 49 women and 54 men with mean age of 43.2 years (range 19-66 years). All cases had a macroadenoma >3 cm in diameter. The transsphe...
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Ten-year clinical and radiographic outcomes after autologous chondrocyte implantation of femoral condyles
Osteochondritis Dissecans 2020 Review
PURPOSE: This prospective study assessed the 10-year clinical outcomes of periosteum autologous chondrocyte implantation (ACI) due to cartilage lesions of the femoral condyles. METHODS: Thirty-three of 45 patients (3 failures, 7 non-responders, 2 others) were available for clinical and radiographic evaluation at 2, 5, ...
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Structural and functional changes in the skeletal muscles of COPD patients: the "compartments" theory
DOD - Acute Comp Syndrome CPG
This review focuses on the structural and functional changes occurring in respiratory as well as peripheral muscles in COPD patients. These changes are particular for each muscle territory or compartment. Respiratory muscles predominantly undergo structural adaptive changes. However, they have to do their job in unfavo...
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Epidemiology and seasonal variation of distal radius fractures in Oulu, Finland
Distal Radius Fractures
Summary: The purpose of this study was to assess changes in epidemiology and reasons for wintertime excess of distal radius fractures in Oulu, Finland. Our results showed that age-specific incidence of distal radius fractures in elderly women in Finland has increased compared with a previous study. Slippery pavement su...
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Nutritional care: the effectiveness of actively involving older patients
Management of Hip Fractures in the Elderly
AIMS AND OBJECTIVES: The purpose of the study was to test the effectiveness of nursing care based on active involvement of patients in their nutritional care. It was hypothesized that this type of care could improve energy and protein intake in elder orthopaedic patients. BACKGROUND: Protein and energy malnutrition and...
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Prognosis of total hip replacement in Sweden. Follow-up of 92,675 operations performed 1978-1990
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
A prospective, national multi-center study of all reoperations after total hip replacement (THR) was started by the Swedish Orthopedic Association in 1979. The material comprises all THR performed in Sweden, presently more than 10,000 yearly or 130 THR per 100,000 inhabitants; uncemented implants have been used in less...
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The diagnostic significance of pulmonary nodules on CT thorax in chondrosarcoma of bone
MSTS 2022 - Metastatic Disease of the Humerus
AIM: To provide a diagnostic approach to pulmonary nodules in patients with chondrosarcoma. MATERIALS AND METHODS: A search of the oncology database at a specialist orthopaedic oncology referral centre was performed to identify all patients who were treated surgically for chondrosarcoma between January 2007 and Decembe...
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Biology of allograft incorporation
AMP (Acute Meniscal Pathology)
The use of implantation of allograft tissue in sports medicine has risen steadily over the last decade. Allograft tissues offer several advantages over autografts, including reduced donor-site morbidity and decreased operative time, and in some instances, no autograft option exists. However, with allografts, there is a...
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Rapid recovery protocol for peri-operative care of total hip and total knee arthroplasty patients
Surgical Management of Osteoarthritis of the Knee CPG
Total hip arthroplasty (THA) and total knee arthroplasty (TKA) are among the most successful procedures performed in terms of quality-of-life years gained. The long-term goals of arthroplasty, to relieve pain, increase function, provide stability, and obtain durability, are accomplished in the vast majority of cases. T...
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Long-stem revision prosthesis for salvage of failed fixation of extracapsular proximal femoral fractures
Management of Hip Fractures in the Elderly
A retrospective review was made of radiographs and case notes of patients with failed fixation of extracapsular proximal femoral fractures subsequently managed with long-stem revision arthroplasty. Follow-up radiographs, objective scoring, mobility, and complications were assessed. Twenty five hips were managed with lo...
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Short-Term Morbidity and Mortality After Hemiarthroplasty and Total Hip Arthroplasty for Pathologic Proximal Femur Fractures
Hip Fx in the Elderly 2019
BACKGROUND: As oncology patients have increasing life expectancies, total hip arthroplasty (THA) may become an important treatment option for pathologic proximal femur fractures (PPFFs). Although THA and hemiarthroplasty (HA) have been compared for native hip fracture treatment, no data on short-term morbidity and mort...
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Early Results of Transcatheter Arterial Embolization for Relief of Chronic Shoulder or Elbow Pain Associated with Tendinopathy Refractory to Conservative Treatment
Pediatric Supracondylar Humerus Fracture 2020 Review
Purpose: To evaluate the effectiveness and safety of transcatheter arterial embolization to relieve pain associated with shoulder and elbow tendinopathy refractory to conservative treatment. Materials and Methods: This study included 13 patients (15 cases) who underwent embolization between November 2015 and December 2...
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Comparison of a pain management program with usual care in a pain management center for people with spinal cord injury-related chronic pain
DoD PRF (Psychosocial RF)
OBJECTIVE: To evaluate the effectiveness of a specifically modified group-based, multidisciplinary cognitive-behavioral pain management program (PMP) in comparison to usual care in a clinical sample of people with spinal cord injury (SCI)-related chronic pain. METHOD: Changes over time on a range of measures, including...
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Relationship between MRI and clinical findings in the acromioclavicular joint
Glenohumeral Joint OA
OBJECTIVE: To determine the relationship between the magnetic resonance (MR) appearance of the acromioclavicular (AC) joint and the physical findings. DESIGN: A total of 116 consecutive patients underwent routine MR imaging (MRI) of the shoulder over an 18-month period. All MR studies were interpreted by a blinded, exp...
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Unstable intertrochanteric fractures treated with the Variwall reconstruction nail
Management of Hip Fractures in the Elderly
Forty consecutive patients with unstable intertrochanteric fractures were treated with the Variwall reconstruction nail. Twelve of these had subtrochanteric extensions to their fractures, while most were highly comminuted grade 5 fractures. This nail was found to be relatively easy to use with a mean operative time of ...
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Evidence too weak to guide surgical treatment decisions for anterior cruciate ligament injury: a systematic review of the risk of new meniscal tears after anterior cruciate ligament injury
AMP (Acute Meniscal Pathology)
OBJECTIVE: To investigate the risk of new meniscal tears after treatment for anterior cruciate ligament (ACL) injury, in children and adults with and without ACL reconstruction. DESIGN: Prognosis systematic review (PROSPERO registration number CRD42016036788). METHODS: We searched Embase, Ovid Medline, Cochrane, CINAHL...
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Medial and lateral foot loading and its effect on knee joint loading
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: The medial knee contact force may be lowered by modified foot loading to prevent the progression of unilateral gonarthrosis but the real effects of such gait modifications are unknown. This study investigates how walking with a more medial or lateral rollover of the foot influences the in vivo measured knee...
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Bupivacaine for postoperative pain relief at the iliac crest bone graft harvest site
Management of Hip Fractures in the Elderly
An inevitable side effect of iliac crest bone graft harvesting is postoperative pain at the donor site. Bupivacaine hydrochloride is a long-acting local anesthetic that is clinically effective for approximately 8 hours. The present study was undertaken to assess postoperative pain relief with locally injected bupivacai...